CAJ | 학술논문

背景:转子间骨折老年患者多合并骨质疏松和其他慢性疾病,保守治疗极易导致卧床并发症.目的:评价经皮加压钢板系统内固定治疗老年转子间骨折的疗效.方法:总结2007-06/2009-06收治经皮加压钢板系统植入治疗的转子间骨折老年患者32例和2007/2011采用动力髋螺钉系统治疗股骨转子间骨折患者40例的临床资料,比较2种方法手术操作时间、术中出血量及Harris评价术后疗效.结果与结论:经皮加压钢板系统治疗手术操作时间、术中出血量明显少于动力髋螺钉系统治疗,而2组Harris评分优良率接近.说明经皮加压钢板内固定也可有效治疗老年人转子间骨折,且手术操作简单,有利于减少手术并发症发生.
배경:전자간골절노년환자다합병골질소송화기타만성질병,보수치료겁역도치와상병발증.목적:평개경피가압강판계통내고정치료노년전자간골절적료효.방법:총결2007-06/2009-06수치경피가압강판계통식입치료적전자간골절노년환자32례화2007/2011채용동력관라정계통치료고골전자간골절환자40례적림상자료,비교2충방법수술조작시간、술중출혈량급Harris평개술후료효.결과여결론:경피가압강판계통치료수술조작시간、술중출혈량명현소우동력관라정계통치료,이2조Harris평분우량솔접근.설명경피가압강판내고정야가유효치료노년인전자간골절,차수술조작간단,유리우감소수술병발증발생.
BACKGROUND: Expectant treatment for intertrochanteric fractures in elderly patients with osteoporosis and other chronic diseases can easily lead to complications of lying in bed.OBJECTIVE: To evaluate the results of percutaneous compression plating system (PCCP) for intertrochanteric fractures in elderly patients. METHODS: Thirty-two cases of elderly intertrochanteric fractures treated with PCCP admitted from June 2007 to June 2009 and 40 cases of elderly intertrochanteric fractures treated with dynamic hip screw system (DHS) were reviewed. The operative bleeding, operative time and curative effect were compared.RESULTS AND CONCLUSION: The operative bleeding and operative time in the patients receiving PCCP were significantly lower than those in the patients receiving DHS. There was not statistical significance between the curative effects about the two methods. PCCP applied in elderly patients with intertrochanteric fracture can get satisfactory effects, and the system is operated simply with minimally invasive surgery, which is beneficial to reduce surgical complications.